Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.13 / $1,334.85 / $8,229.00	Facility		$768.13	$1,334.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $893.33 / $1,151.69	Professional		$768.13	$893.33	$1,151.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.09 / $858.77 / $1,245.73	Professional		$720.09	$858.77	$1,245.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.42 / $1,191.27 / $1,374.21	Facility		$826.42	$1,191.27	$1,374.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $850.91 / $1,191.27 / $1,701.82	Professional		$850.91	$1,191.27	$1,701.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.05 / $1,043.05 / $1,134.04	Facility		$1,043.05	$1,043.05	$1,134.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.99 / $1,245.75 / $1,798.91	Professional		$868.99	$1,245.75	$1,798.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,106.18	Professional		$32.34	$32.34	$1,106.18
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $860.25 / $1,200.51 / $1,730.58	Professional		$860.25	$1,200.51	$1,730.58